SPOKANE ORAL AND MAXILLOFACIAL SURGERY ASC
NPI 1275876849
Clinic/Center - Oral and Maxillofacial Surgery in Spokane Valley, WA

Q: What is Spokane Oral And Maxillofacial Surgery ASC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since April 02, 2013

12109 E BROADWAY AVE, BUILDING C, SPOKANE VALLEY, WA 99206(509) 926-7106(509) 926-2833 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Spokane Oral And Maxillofacial Surgery Asc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPOKANE ORAL AND MAXILLOFACIAL SURGERY ASC (NPI 1275876849) is a healthcare organization registered as an oral and maxillofacial surgery in Spokane Valley, Washington and active in the NPI registry since April 2013. The organization lists Renee K Bancroft, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1275876849

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameSPOKANE ORAL AND MAXILLOFACIAL SURGERY ASC

Location Address12109 E BROADWAY AVE, BUILDING CSpokane Valley, WA 99206-6133

Mailing Address12109 E Broadway Ave, Building CSpokane Valley, WA 99206-6133 · (509) 926-7106 · Fax (509) 926-2833

Phone(509) 926-7106

Fax(509) 926-2833

Organization SubpartYesParent: Spokane Oms Pllc

Authorized OfficialRenee K BancroftBilling Manager · (509) 926-7106

Enumeration DateApril 2, 2013

✔ NPI 1275876849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

Definition

An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12109 E BROADWAY AVE, Spokane Valley, WA 99206

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK C PAXTON, D.D.S, P.S

Dentist (Oral and Maxillofacial Surgery)

12109 E BROADWAY AVE, BLDG C
SPOKANE VALLEY, WA 99206

Spokane County (509) 893-3635

BRYAN W. MCLELLAND D.D.S., P.S.

Clinic/Center (Oral and Maxillofacial Surgery)

12109 E BROADWAY AVE, BLDG C
SPOKANE VALLEY, WA 99206

Spokane County (509) 922-2273

SPOKANE DIGITAL DIAGNOSTIC

Clinic/Center (Oral and Maxillofacial Surgery)

12109 E BROADWAY AVE, BUILDING C
SPOKANE VALLEY, WA 99206

Spokane County (509) 926-7106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spokane Oral And Maxillofacial Surgery ASC's NPI number?

The NPI number for Spokane Oral And Maxillofacial Surgery ASC is 1275876849. It was assigned to this organization in the NPPES registry on April 2, 2013.

Where is Spokane Oral And Maxillofacial Surgery ASC located?

Spokane Oral And Maxillofacial Surgery ASC is located at 12109 E Broadway Ave Building C, Spokane Valley, WA 99206. The listed phone number is (509) 926-7106.

What is Spokane Oral And Maxillofacial Surgery ASC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Spokane Oral And Maxillofacial Surgery ASC was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.